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Individual

JULIO ANTONIO GINEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC, LPC

Contact information

Practice address
3892 OLD DOERUN RD, MOULTRIE, GA 31768-2464
(833) 446-3572
(844) 889-5507
Mailing address
3892 OLD DOERUN RD, MOULTRIE, GA 31768-2464
(646) 683-9210
(347) 529-4186

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC010127
GA
101YM0800X
Mental Health Counselor
006574
NY

Other

Enumeration date
11/05/2013
Last updated
12/12/2022
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